Active NPI
Med-DME Supply Inc.
- Durable Medical Equipment & Medical Supplies
- Sunland, CA
National Provider Identifier
1104851732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 44963
- Legal business name
- MED-DME SUPPLY INC.
- Practice address
- 8340 Foothill Blvd
Sunland, CA 91040-2849 - Phone
- (818) 446-0700
- Fax
- (818) 446-0064
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Meguerian
- Title
- Owner / Ceo
- Phone
- (818) 446-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 44963 | CA | Primary |
Addresses
Primary practice location
8340 Foothill Blvd
Sunland, CA 91040-2849
Mailing address
8340 Foothill Blvd
Sunland, CA 91040-2849
Phone (818) 446-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44983 | Other | CA | LICENSE NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Med-DME Supply Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Sunland, CA
- NPI 1336320639
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Sunland, CA
- NPI 1336201094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104851732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8340 FOOTHILL BLVD",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910402849",
"telephone_number": "818-446-0700",
"fax_number": "818-446-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8340 FOOTHILL BLVD",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910402849",
"telephone_number": "818-446-0700",
"fax_number": "818-446-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-DME SUPPLY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MEGUERIAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER / CEO",
"authorized_official_telephone_number": "818-446-0700"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "44963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "44983",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.